Walkthrough: Reduction of Risk Potential Q6 – NCLEX-RN®

00:01 The nurse is preparing a client for a non-contrast brain MRI scan.

00:06 Which statement by the nurse is most important.

00:09 Okay, guys, I know the tendency is to flip through this one really quickly, but slow down and let's look for those key words together.

00:17 So I'm the nurse.

00:19 I'm preparing a client for what? Oh, yeah, MRI scan.

00:22 Noo, you missed some words there, right? What are the descriptor words before MRI scan? Non contrast, brain MRI scan.

00:35 Hmm.

00:36 What are the angry ELLs who write these questions put that in? Why would they choose those words? Don't skip descriptor words.

00:44 So keep in mind, non-contrast. What does that mean? Well, non-contrast means without contrast, right? MRI, what kind of test is that? Magnetic Resonance Imaging.

00:59 Last sentence.

01:01 Which statement by the nurse is, I hope you got it most important.

01:07 So we know, there's going to be more than one statement here.

01:11 There might be more than one correct answer.

01:14 But they're asking me to prioritize for this particular patient, in this particular setting, what keeps them the safest? So a non-contrast brain MRI? What's most important to keep them the safest? Let's bring those answer choices in.

01:32 Use your scratch paper that has the numbers 1, 2, 3, and 4 on it.

01:38 Ask yourself that question four times.

01:41 Make sure that you compare the other three answer choices to wherever you decide to start.

01:48 Go slowly, be thorough.

01:50 When you cross off an answer, make yourself say why you're crossing it off.

01:55 All right, I'll see you back in however long it takes for you to do your best.

02:08 Hi, have you committed to your answer? Which one did you choose? Okay, cool. Let's walk through.

02:16 Now a non-contrast brain MRI scan, I'm looking for the most important statement for that particular test.

02:24 So number one.

02:26 Would it keep this patient safe with a non-contrast brain MRI if I said, "Remove any metal objects you're wearing?" Well, MRI is Magnetic Resonance Imaging.

02:37 Removing metal objects. Yeah, I'm going to keep that in.

02:40 But I'm not going to stop there because remember, I know it's most important.

02:45 So I'm going to make sure I compare this statement to the other three remaining.

02:49 Now compare number one to number two.

02:52 For a non-contrast brain MRI, a small catheter will be inserted into your artery.

03:00 This is a non-contrast brain MRI.

03:04 There's no need for a small catheter like, you know, an IV, to be put, what's not an IV.

03:09 Because they're putting it in your artery.

03:11 Right? No.

03:12 I'm going to get rid of that.

03:14 Because I don't need any access like that for a non-contrast brain MRI.

03:20 Number three.

03:22 So, I've got number one in, number two out.

03:25 Number three.

03:27 Your pacemaker will not be affected by this procedure.

03:31 Is that true for a non-contrast brain MRI? Pacemakers can be metal.

03:40 So you can't just say, "Yeah, your patient will be fine with this.

03:43 We'd have to figure out is it one that is metal? Is it one that doesn't.

03:47 So you can't just make that blanket statement.

03:50 So number three.

03:52 I'm going to cross that off.

03:53 That's not the most important thing to say for somebody going down for a non-contrast brain, Magnetic Resonance Imaging.

04:02 We're down to one and four. Let's see what we got.

04:05 Number four.

04:07 It will measure the speed of your blood flow in the brain.

04:10 Is that the most important thing to keep this patient safe for someone going down for a non-contrast brain MRI? Actually, it isn't.

04:21 A noncontrast brain MRI isn't the best test or what we would use to measure the velocity of the blood flow in the brain.

04:30 This would be something more like a transdermal doppler ultrasonography that would be the type of test.

04:36 That would let us look at the velocity of blood in the brain.

04:41 A non-contrast MRI is going to be a test that's going to give the healthcare provider a lot of helpful information about the brain, but it's not going to be about the speed of the blood flow.

04:54 So let's go back up to number one.

04:56 Let's make sure it's the most correct answer.

04:59 It's the most important thing to keep this patient safe.

05:03 What we ruled out that number two that isn't used for a non-contrast MRI.

05:08 Number three, it could have metal.

05:10 So it would be really important that you let the healthcare provider know.

05:14 The patient has a pacemaker, and they can follow up and see if the procedure would be safe for them.

05:19 Number four, we talked about nope, that's not the right test to measure the velocity of blood flow.

05:25 Going back to number one.

05:28 Why do we remove metal objects that the client is wearing? Because MRI is a ginormous magnet.

05:37 So you don't even want to have a hair clip in that has metal on it.

05:41 You don't want any metal on buttons or accessories.

05:45 All metal objects of the healthcare provider that will be in the room and for the client need to be removed.

05:52 Otherwise, those metal objects can interfere with a test and even with the functioning of the machine if they get sucked into that giant magnet.

06:02 Okay, let's reflect.

06:03 How'd you do? Did you get this one right? If you did, take a victory lap.

06:07 I want you to celebrate, because every victory is something you need to pause.

06:12 And remember, you're working really hard to be in nursing school.

06:16 So reward yourself.

06:18 If you didn't get it right, no worries.

06:21 It's just an opportunity to grow.

06:22 Get better and get stronger.

06:25 What caught you? Is there anything in your testing strategies you could have done differently? Did you ask yourself the most important for a non-contrast MRI for every one of those four options? Did you compare answers to make sure that you are prioritizing by comparing your selected answer to the next one, and then to the next one, and then to the next one.

06:49 Those are all the best strategies when it comes to prioritizing questions.

06:54 So take time.

06:56 Right in your notebook.

06:57 What do you need to remember? Is there anything from this question that new knowledge for you? You didn't know about that.

07:04 Make sure that goes in your notebook.

07:06 In a short and succinct manner so that you can review it regularly throughout your study.

07:11 All right, thanks for doing this question with us.

07:14 Let's go do another.